DSM-5 Handbook on the Cultural Formulation Interview

DSM-5® Handbook on the Cultural Formulation Interview, 2015

In this chapter, we introduce the DSM-5 (American Psychiatric Association 2013) core Cultural Formulation Interview (CFI) and the CFI-Informant Version. We begin with a theoretical description of the core CFI. The CFI comprises three tools for clinicians to complete a cultural assessment: 1) the core CFI of 16 questions with associated prompts for direct patient interviewing; 2) the CFI-Informant Version that can be administered to close associates of the patient, such as family, friends, caregivers, and other social supports; and 3) the 12 CFI supplementary modules that expand the number of questions by cultural domain or include topics of additional interest for certain populations. All of these tools share a common theoretical foundation, and our aim in this chapter is to describe this foundation through detailed descriptions of the core CFI and the CFI-Informant Version; Chapter 3 ("Supplementary Modules") covers the supplementary modules in greater depth. In addition, in this chapter we review key findings from the DSM-5 field trial that tested an earlier version of the core CFI consisting of 14 items. The field trial results were taken into account in the final revised core CFI that is included in DSM-5. More

The British journal of psychiatry : the journal of mental science, 2017

There is a need for clinical tools to identify cultural issues in diagnostic assessment. To assess the feasibility, acceptability and clinical utility of the DSM-5 Cultural Formulation Interview (CFI) in routine clinical practice. Mixed-methods evaluation of field trial data from six countries. The CFI was administered to diagnostically diverse psychiatric out-patients during a diagnostic interview. In post-evaluation sessions, patients and clinicians completed debriefing qualitative interviews and Likert-scale questionnaires. The duration of CFI administration and the full diagnostic session were monitored. Mixed-methods data from 318 patients and 75 clinicians found the CFI feasible, acceptable and useful. Clinician feasibility ratings were significantly lower than patient ratings and other clinician-assessed outcomes. After administering one CFI, however, clinician feasibility ratings improved significantly and subsequent interviews required less time. The CFI was included in DSM...

word count: 185 Text word count (excluding abstract, references, and tables): 6,878 Number of tables: 3

Psychiatry, 2014

The Outline for Cultural Formulation (OCF) introduced with DSM-IV provided a framework for clinicians to organize cultural information relevant to diagnostic assessment and treatment planning. However, use of the OCF has been inconsistent, raising questions about the need for guidance on implementation, training, and application in diverse settings. To address this need, DSM-5 introduced a cultural formulation interview (CFI) that operationalizes the process of data collection for the OCF. The CFI includes patient and informant versions and 12 supplementary modules addressing specific domains of the OCF. This article summarizes the literature reviews and analyses of experience with the OCF conducted by the DSM-5 Cross-Cultural Issues Subgroup (DCCIS) that informed the development of the CFI. We review the history and contents of the DSM-IV OCF, its use in training programs, and previous attempts to render it operational through questionnaires, protocols, and semi-structured interview formats. Results of research based on the OCF are discussed. For each domain of the OCF, we summarize findings from the DCCIS that led to content revision and operationalization in the CFI. The conclusion discusses training and implementation issues essential to service delivery.

Transcultural Psychiatry, 2020

While social science research has demonstrated the importance of culture in shaping psychiatric illness, clinical methods for assessing the cultural dimensions of illness have not been adopted as part of routine care. Reasons for limited integration include the impression that attention to culture requires specialized skills, is only relevant to a subset of patients from unfamiliar backgrounds, and takes too much time to be useful. The DSM-5 Cultural Formulation Interview (CFI), published in 2013, was developed to provide a simplified approach to collecting information needed for cultural assessment. It offers a 16-question interview protocol that has been field tested at sites around the world. However, little is known about how CFI implementation has affected training, health services, and clinical outcomes. This article offers a comprehensive narrative review that synthesizes peer-reviewed, published studies on CFI use. A total of 25 studies were identified, with sample sizes ran...